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Smoky Mountain Health and Rehabilitation Center
1349 Crabtree Road, Waynesville, NC 28785 (opens Google Maps) · Haywood County · (828) 454-9260· 50 certified beds · avg 40 residents/day · certified since Aug 26, 1991 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: PRINCIPLE LONG TERM CARE (40 facilities, chain avg rating 3.0★)
3/5
Health inspection rating (on-site)
inspected Mar 19, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.67
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. F-0605
The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. F-0847
View all 10 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 19, 2026 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Mar 19, 2026 | D · Potential for more than minimal harm, isolated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Mar 19, 2026 | D · Potential for more than minimal harm, isolated | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. · F-0847 |
| Feb 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint · F-0636 |
| Feb 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint · F-0644 |
| Feb 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint · F-0695 |
| Feb 5, 2025 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761 |
| Sep 28, 2023 | E · Potential for more than minimal harm, pattern | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint · F-0803 |
| Sep 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583 |
| Sep 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
All citationsSerious citations (G–L)
2023
All citations: 3
Serious citations (G–L): 0
2025
All citations: 4
Serious citations (G–L): 0
2026
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2025 | 4 | 0 | D |
| 2026 | 3 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNorth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.67
North Carolina average: 4.01
U.S. average: 3.95
Registered Nurse hours
This facility: 1.23
North Carolina average: 0.64
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.35
North Carolina average: 3.56
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.67 | 4.01 | 3.95 | top 15% in North Carolina; top 19% in the U.S. |
| Registered Nurse hours | 1.23 | 0.64 | 0.69 | top 7% in North Carolina; top 9% in the U.S. |
| Weekend total nurse staffing | 4.35 | 3.56 | 3.50 | top 12% in North Carolina; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.60 | 0.41 | 0.48 | top 14% in North Carolina; top 23% in the U.S. |
| Total nursing staff turnover (%) | 60.8 | 49.0 | 45.8 | bottom 21% in North Carolina; bottom 15% in the U.S. |
| RN turnover (%) | 61.5 | 45.7 | 42.9 | bottom 26% in North Carolina; bottom 20% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.93, RN 1.04, weekend 3.66.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.93 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Smoky Mountain Health and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hill, Robert | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2011 |
| Boice, Gale | Individual | Corporate Officer | NOT APPLICABLE | 03/05/2018 |
| Boice, Gale | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/18/2018 |
| Boice, Gale | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 09/08/2025 |
| Boice, Gale | Individual | ADP of the SNF | NOT APPLICABLE | 03/05/2018 |
| Detar, Dewey | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/05/2023 |
| Detar, Dewey | Individual | ADP of the SNF | NOT APPLICABLE | 06/13/2025 |
| Hill, Raymond | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2011 |
| Hill, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2011 |
| Hill, Stephen | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2011 |
| Johnson, Dianne | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
| Principle Long Term Care, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2011 |
| Walters, Shayna | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/21/2020 |
| Walters, Shayna | Individual | ADP of the SNF | NOT APPLICABLE | 06/13/2025 |
All 14 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Principle Long Term Care — 40 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Springbrook Nursing and Rehabilitation Center — Clayton, NC · overall 3/5
- Tower Nursing and Rehabilitation Center — Raleigh, NC · overall 2/5
- University Place Nursing and Rehabilitation Center — Charlotte, NC · overall 1/5
- Westwood Hills Nursing and Rehabilitation Center — Wilkesboro, NC · overall 2/5abuse
- Willow Creek Nursing and Rehabilitation Center — Goldsboro, NC · overall 2/5
- Wilson Pines Nursing and Rehabilitation Center — Wilson, NC · overall 4/5
- Wayland Nursing and Rehabilitation Center — Keysville, VA · overall 4/5
- Greenwood Rehabilitation and Healthcare Center — Bowling Green, KY · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 39 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Is signing an arbitration agreement required for admission, and can we refuse it without affecting my family member's care?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 61% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Skyland Terrace and Rehabilitation | 3.6 mi | Waynesville, NC | ★★★★☆ | 4/5 | |
| Silver Bluff | 5.9 mi | Canton, NC | ★★★☆☆ | 3/5 | |
| Autumn Care of Waynesville | 6.4 mi | Waynesville, NC | ★☆☆☆☆ | 1/5 | |
| Maggie Valley Health and Rehabilitation Center | 8.2 mi | Maggie Valley, NC | ★★☆☆☆ | 2/5 | |
| Pisgah Manor Health Care Center | 16.0 mi | Candler, NC | ★★☆☆☆ | 2/5 | |
| Vero Health & Rehab of Sylva | 18.3 mi | Sylva, NC | ★☆☆☆☆ | 1/5 | |
| Skyland Care Center | 18.4 mi | Sylva, NC | ★★★★☆ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 345396.
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